| NPI | 1619057650 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE M BERISH RN 253-912-4771 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0002X Clinic/Center, Emergency Care (Licence: WA rnoo143836) |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2020-08-22 |